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IN-HOME EASY LIVING PROVIDER
P.O. Box 165835
Miami, FL 33116-5835
Phone: (305) 969-7112
Fax: (786) 293-1829

  

 

Interview Request

Our interview process begins with a thorough assessment based on the lifestyle, medical condition, and assistance needs of you or your loved ones that will allow them to continue enjoying their independent lifestyles at home.

We will work together with you and your family and facilitate the care that best meets your needs.

Our interview and meeting process allows us to completely explain the services that are available to you and your family, answer questions you may have, and assist in the decision making process.

 


Issues that would be covered include:
 

  • Caregiver matching
     

  • Daily routines
     

  • Health and medication issues
     

  • Emergency response

  • Nutritional issues
     

  • Home cleaning issues
     

  • Transportation needs
     

  • Costs of services

 

Request an Interview with one of our professionals to better assess your independent needs. This information is then used to provide you with the best possible solution designed to provide you and your family with the best quality of life possible.

Contact
 

First Name:
Last Name:
Email:
Phone:
City, State, Zip
Relation to
Care Recipient:


Care Recipient

Name:
Address:
City, State, Zip:
Age:
Gender: Male   Female
Existing Medical Conditions:
Current Living Conditions:
Estimated Hours of Service:
How Soon Would You Need Service:
Method Of Payment: Private Pay   Long Term Care Insurance
Comments:

 

 

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